Jennifer Luzentales, APN-FNP is a medicare enrolled "Nurse Practitioner" physician in Waukegan, Illinois. She graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Waukegan Clinic Corp, Froedtert South Inc and her current practice location is
1616 Grand Ave Ste A, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 249-1733.
Jennifer Luzentales is licensed to practice in Illinois (license number 209013996) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366896631.
Physician's Profile
| Full Name | Jennifer Luzentales |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 27 Years |
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| Location | 1616 Grand Ave Ste A, Waukegan, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Luzentales graduated from medical school in 1998
NPI Data:
- NPI Number: 1366896631
- Provider Enumeration Date: 04/22/2016
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719261718
- Enrollment ID: I20170310000023
Medical Identifiers
Medical identifiers for Jennifer Luzentales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366896631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 209013996 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209013996 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Waukegan Clinic Corp | 4284631086 | 58 |
| Froedtert South Inc | 9537071196 | 132 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Luzentales allows following entities to bill medicare on her behalf.
| Entity Name | Waukegan Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306937289
PECOS PAC ID: 4284631086
Enrollment ID: O20061108000240 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Luzentales is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jennifer Luzentales, APN-FNP
1616 Grand Ave Ste A,
Waukegan, IL 60085-3676
Ph: (847) 249-1733 | Jennifer Luzentales, APN-FNP
1616 Grand Ave Ste A,
Waukegan, IL 60085-3676
Ph: (847) 249-1733 |
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